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Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Andriiashkin V.V.

Kafedra fakul'tetskoĭ khirurgii im. S.I. Spasokukotskogo Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Leont'ev S.G.

Kafedra fakul'tetskoĭ khirurgii im. S.I. Spasokukotskogo Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Kuznetsova V.F.

Pirogov Municipal Clinical Hospital #1 of the Moscow Department of Health, Moscow, Russia

Churikov D.A.

Gorodskaia klinicheskaia bol'nitsa im. N.I. Pirogova, Moskva

Kirienko A.I.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

Bipolar Venous Thrombosis as a Cause of Pulmonary Embolism

Authors:

Lebedev I.S., Andriiashkin V.V., Leont'ev S.G., Kuznetsova V.F., Churikov D.A., Kirienko A.I.

More about the authors

Journal: Journal of Venous Disorders. 2019;13(4): 346‑349

DOI: 10.17116/flebo201913041346

Views: 788

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BIPOLAR VENOUS THROMBOSIS AS A CAUSE OF PULMONARY EMBOLISM
BIPOLAR VENOUS THROMBOSIS AS A CAUSE OF PULMONARY EMBOLISM

To cite this article:

Lebedev IS, Andriiashkin VV, Leont'ev SG, Kuznetsova VF, Churikov DA, Kirienko AI. Bipolar Venous Thrombosis as a Cause of Pulmonary Embolism. Journal of Venous Disorders. 2019;13(4):346‑349. (In Russ.)
https://doi.org/10.17116/flebo201913041346

Подписка 2025-2 (Journal of Venous Disorders)
 
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A patient with pulmonary embolism and two simultaneous possible sources of pulmonary vascular embolization is reported. There was thrombosis of popliteal vein and internal iliac vein with spread into inferior vena cava. At the same time, iliocaval segment was not examined by two consecutive specialists during sonography. As a result, potentially more dangerous thrombosis of inferior vena cava was not found. The necessity of thorough ultrasound diagnosis of the entire inferior vena cava pool to prevent tactical errors is emphasized.

Keywords:

thrombosis
pulmonary embolism
endovascular thrombectomy

Authors:

Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Andriiashkin V.V.

Kafedra fakul'tetskoĭ khirurgii im. S.I. Spasokukotskogo Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Leont'ev S.G.

Kafedra fakul'tetskoĭ khirurgii im. S.I. Spasokukotskogo Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Kuznetsova V.F.

Pirogov Municipal Clinical Hospital #1 of the Moscow Department of Health, Moscow, Russia

Churikov D.A.

Gorodskaia klinicheskaia bol'nitsa im. N.I. Pirogova, Moskva

Kirienko A.I.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

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  2. Saveliev VS. (red.). Flebologiay. Rukovodstvo dlay vrachei. M.: Meditsina, 2016;664. (In Russ.)
  3. Kirienko AI, Chernaevskiy AM, Andriayshkin VV. (red.). Tromboemboliay legochnih arteriy. Kak lechit i predotvrashchayt. M.: MIA, 2015;276. (In Russ.)
  4. Zhang HY. Free-floating Thrombus Formation in the Inferior Vena Cava. Eur J Vasc Endovasc Surg. 2016;52(1):46. https://doi.org/10.1016/j.ejvs.2016.03.027
  5. Vayssairat M, Rouffy J. What to do with a free-floating venous thrombus. J Mal Vasc. 1991;16(1):67-70.
  6. Rossiyskie klinicheskie rekomendasii po diagnostike, lecheniu i profilaktike venoznih tromboembolicheskih oslozneniy. Pod redaksiey. Pod. red. Bokeriya LA, Zatevahina II, Kirienko AI. Flebologiay. 2015;4(2):1-52. (In Russ.)
  7. Kirienko AI, Matyshenko AA, Andriyashkin VV. Ostriy tromboflebit. 2-e izd. M.: MIA, 2019;120. (In Russ.)
  8. Ponomar E, Carlson JE, Kindlund A. Clot-trapper device for transjugular thrombectomy from the inferior vena cava. Radiology. 1991 Apr;179(1):279-282.
  9. Liu G, Zhao Z, Cui C, YeK. Yin X., Liu X, Qin J, Huang X, Lu M, Jiang M, Li W, Lu X. Endovascular management of extensive lower extremity acute deep vein thrombosis with AngioJet rheolytic thrombectomy plus catheter-directed thrombolysis from contralateral femoral access. Phlebology. 2019 May;34(4):257-265. https://doi.org/10.1177/0268355518790407
  10. Du GC, Zhang MC, Zhao JC. Catheter-directed thrombolysis plus anticoagulation versus anticoagulation alone in the treatment of proximal deep vein thrombosis — a metaanalysis. Vasa. 2015 May;44(3):195-202. https://doi.org/10.1024/0301-1526/a000430
  11. Vedantham S, Goldhaber SZ, Julian JA, Kahn SR, Jaff MR, Cohen DJ, Magnuson E, Razavi MK, Comerota AJ, Gornik HL, Murphy TP, Lewis L, Duncan JR, Nieters P, Derfler MC, Filion M, Gu CS, Kee S, Schneider J, Saad N, Blinder M, Moll S, Sacks D, Lin J, Rundback J, Garcia M, Razdan R, VanderWoude E, Marques V, Kearon C. ATTRACT Trial Investigators. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. 2017 Dec 7;377(23):2240-2252. https://doi.org/10.1056/nejmoa1615066
  12. Akhtar OS, Lakhter V, Zack CJ, Hussain H, Aggarwal V, Oliveros E, Brailovsky Y, Zhao H, Dhanisetty R, Charalel RA, Zhao M, Bashir R. Contemporary Trends and Comparative Outcomes With Adjunctive Inferior Vena Cava Filter Placement in Patients Undergoing Catheter-Directed Thrombolysis for Deep Vein Thrombosis in the United States: Insights From the National Inpatient Sample. JACC Cardiovasc Interv. 2018 Jul 23;11(14): 1390-1397. https://doi.org/10.1016/j.jcin.2018.04.048

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